OrganizationActive
A Safe Space Counseling LLC
NPI 1417481235 · Mental Health Clinic/Center (Including Community Mental Health Center) · Longwood, FL
Provider details
- NPI number
- 1417481235
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dora Henderson, Owner(321) 710-5649
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Practice location
1250 S US Highway 17 92 Ste 150
Longwood, FL 32750-5712
Phone: (407) 272-1715
Fax: (321) 972-5071
Approximate (ZIP-level) locationGet directions
Mailing address
1250 S US Highway 17 92 Ste 150
Longwood, FL 32750-5712
Additional practice locations (1)
- 100 E Sybelia AveSuite 380Maitland, FL 32751-4763Phone: (321) 710-5649
Registry dates
- Enumerated
- 2017-04-18
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.